医学生心理健康现状及其与学业成绩的相关性横断面研究：以中国某医科大学医学生为例
A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examples.
作者信息
Chunhong Han, Jingjing Ding, Huan He, Peiyao Zheng, Xiaona Zhang, Xiaowen Yang, Aiming Zheng
机构信息
School of Education Science, Nanjing Normal University (ED.D), Nanjing, Jiangsu, China.
Department of Teaching Management, Nanjing Medical University, Nanjing, Jiangsu, China.
出版信息
Front Psychiatry. 2025 Feb 11;16:1496248. doi: 10.3389/fpsyt.2025.1496248. eCollection 2025.
BACKGROUND
The psychological health problems are becoming increasingly prominent among medical students under the heavy academic stress and high-intensity clinical internships. This study examines the psychological health of medical students in a Chinese university and its impact on academic performance, aiming to inform targeted interventions.
METHODS
2022 undergraduate and postgraduates from an independent medical university in Eastern China were selected to score using the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7(GAD-7), Insomnia Severity Index (ISI), Perceived Stress Scale (PSS), and Beck Scale for Suicide Ideation(BSSI); and the total grade point averages (GPAs) of 2022 undergraduates in the first and second academic years were determined to analyse the main psychological influencing factors.
RESULTS
The general survey of 2022 new medical students at admission showed that the various scores of postgraduates were higher than those of undergraduates. After two semesters, the percentage of students scored higher in unhealthy psychology indicators was increased in both postgraduates and undergraduates, but the differences between two groups were decreased. Analysis of the first and second-year academic performances of 2022 undergraduates revealed that assessment scores of PHQ-9, PSS, ISI, and BSSI had a correlation with the total GPA. However, no correlation was found between the GAD-7 values and the GPA. The PHQ-9 scores and major categories were identified as independent factors influencing the average GPA.
CONCLUSION
The undergraduates face significant challenges in depression, anxiety, insomnia, and perceived stress, and these have negative effects on their academic performances; in particular, the depressive symptoms and perceived stress can significantly reduce their academic performances. In contrast, the psychological health statuses in the postgraduates tend to deteriorate as the semester progress.
背景
在沉重的学业压力和高强度的临床实习下，医学生的心理健康问题日益突出。本研究调查了中国一所大学医学生的心理健康状况及其对学业成绩的影响，旨在为有针对性的干预措施提供依据。
方法
选取中国东部一所独立医科大学的2022名本科生和研究生，使用患者健康问卷-9（PHQ-9）、广泛性焦虑障碍量表-7（GAD-7）、失眠严重程度指数（ISI）、感知压力量表（PSS）和贝克自杀意念量表（BSSI）进行评分；并确定2022名本科生一、二年级的总平均绩点（GPA），以分析主要的心理影响因素。
结果
对2022名新入学医学生的总体调查显示，研究生的各项得分均高于本科生。两个学期后，研究生和本科生中不健康心理指标得分较高的学生比例均有所增加，但两组之间的差异有所减小。对2022名本科生一、二年级学业成绩的分析表明，PHQ-9、PSS、ISI和BSSI的评估得分与总GPA存在相关性。然而，未发现GAD-7值与GPA之间存在相关性。PHQ-9得分及其主要类别被确定为影响平均GPA的独立因素。
结论
本科生在抑郁、焦虑、失眠和感知压力方面面临重大挑战，这些对他们的学业成绩有负面影响；特别是抑郁症状和感知压力会显著降低他们的学业成绩。相比之下，研究生的心理健康状况随着学期的推进往往会恶化。
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